Smart Start is pleased to offer Dolly Parton's Imagination Library throughout the state of North Carolina.  Thank you to our state legislature and many other local funders for supporting this effort.
 
Children up to age 5 living in certain zip codes can receive free books in the mail each month!  Before we see if you can apply, please answer a few questions about your family.  This information will be kept private. It will be used to make sure the program is getting results for families.  These questions will take about 3 minutes to complete. You may skip any questions you wish.

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* 1. What county do you live in?

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* 2. How many children in your home are under the age of 5?

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* 3. Thinking about your oldest child under the age of 5, about how often do you read or look at books with this child?

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* 4. How much does your oldest child under the age of 5:

  How Much?
Like to read or look at books?
Look at books on his/her own?
Ask you to read to him/her?
Ask questions about the story?
Like to turn the pages in the book?
Know the difference between the front of the book and the back of the book?
Know the sounds of each letter?

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* 5. Has this child attended any of the following in the past year?  Check all that apply.

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* 6. What is this child's date of birth? 

Date

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* 7. Is this child:

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* 8. Do you have any more children under the age of 5 in your home?

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